Study on the effect of general medicine department of third class A hospital-community combination on the health management of elderly hypertension/diabetes mellitus patients in the community

Zhang Ruoyan; Zhang Jinjia; Zhang Qilong; Zhao Wenwen; Zhang Min; Sun Yanjie; Wang Rongying

doi:10.3760/j.issn.1673-4777.2024.03.006

Abstract：Objective To explore the effect of the combination of general medicine department of third class A hospital-community combination on the health management of elderly hypertension/diabetes mellitus patients in the community.Methods From March to September 2022,132 patients over 65 years old with hypertension/type 2 diabetes mellitus in Dongjiaojiedao community in Shijiazhuang were selected.Patients were divided into the control group and the observation group according to the random number table method,with 66 cases in each group.Routine health management and general medicine department and community joint health intervention in community health service centers were carried out for the control group and the observation group,respectively.The blood pressure,blood glucose,medication compliance,physical symptoms and medical treatment of the two groups were compared before and after intervention.Results Totally 126 cases were enrolled in the study finally,with 63 cases in each group.After intervention,systolic and diastolic blood pressure of hypertension patients in both groups were lower than those before intervention,and the observation group was lower than the control group[(141±13)mmHg vs(146±16)mmHg,(83±9)mmHg vs(86±9)mmHg](all P＜0.05);fasting blood glucose and 2 h postprandial blood glucose of diabetes mellitus patients in both groups were lower than those before intervention,and the observation group was lower than the control group[(7.2±1.1)mmol/L vs(8.4±1.2)mmol/L,(11.5±1.7)mmol/L vs(14.0±1.4)mmol/L](all P＜0.05).The medication adherence of the observation group after intervention was better than that before the intervention and better than that of the control group,and the somatic symptoms were better than those before the intervention and better than those of the control group(all P＜0.05).During the study,the proportion of patients with disease-related symptoms,outpatient visits,and hospitalizations in the observation group were less than those in the control group(all P＜0.05).Conclusions The joint management of the general medicine department and the community in the third class A hospital can effectively reduce the blood pressure and blood glucose level of the elderly patients with hypertension/diabetes mellitus,improve the medication compliance of the elderly,and reduce physical symptoms,patient visits and hospitalization ratios.